Organization
ELIZABETH HART, M.P.T. & ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ANN HART M.P.T. (PRESIDENT)
(847) 425-1800
Entity
Organization
Contact information
Practice address
1618 ORRINGTON AVE STE 322, EVANSTON, IL 60201-5060
(847) 425-1800
(847) 425-1818
Mailing address
1618 ORRINGTON AVE STE 322, EVANSTON, IL 60201-5060
(847) 425-1800
(847) 425-1818
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001622839
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/28/2008
Last updated
01/28/2008
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